Organization
ADVANCED CARDIAC SPECIALISTS, CHARTERED
Active
Other names
Advanced Cardiac Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FAZIO (CONTROLLER)
(480) 545-1808
Entity
Organization
Contact information
Practice address
4838 E BASELINE RD, BLDG 2, SUITES 109-110, MESA, AZ 85206-4671
(480) 892-2800
(480) 892-3258
Mailing address
PO BOX 63423, PHOENIX, AZ 85082-3423
(480) 892-2800
(480) 982-1400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
—
AZ
207RI0011X
Interventional Cardiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
AZ
2085B0100X
Body Imaging Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
208600000X
Surgery Physician
—
AZ
2086S0129X
Vascular Surgery Physician
—
AZ
208800000X
Urology Physician
—
AZ
363AM0700X
Medical Physician Assistant
—
AZ
363LA2200X
Adult Health Nurse Practitioner
—
AZ
Other
Enumeration date
03/28/2008
Last updated
12/01/2013
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